Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leonidas Edmundo Carrasco

Individual provider Rehabilitation Practitioner · NPI 1548838568

Leonidas Edmundo Carrasco is a Rehabilitation Practitioner in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1625 Filbert St
Oakland, CA 94607-2890
Phone: (510) 663-9092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1548838568
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 15, 2021
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

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